NPIMap

Organization Active NPI

Pender Community Hospital District

Doing business as Pender Community Health

  • Medicare Defined Swing Bed Hospital Unit
  • Pender, NE
National Provider Identifier
1902960313
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H000120 Issued in NE
Legal business name
PENDER COMMUNITY HOSPITAL DISTRICT
Doing business as
Pender Community Health
Pender Community Hospital
Practice address
100 Hospital Dr
Pender, NE 68047-4507
Phone
(402) 385-3083
Fax
(402) 385-1870
NPI assigned
Dec 20, 2006
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PENDER COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura J Gamble
Title
Ceo
Phone
(402) 385-3083

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H000120 NE Primary
Critical Access Hospital 282NC0060X H000120 NE

Addresses

Primary practice location

100 Hospital Dr
Pender, NE 68047-4507

Mailing address

PO Box 100
Pender, NE 68047-0100
Phone (402) 385-4012

Other identifiers 1

IdentifierTypeStateIssuer
00281OtherNEBCBSNE CAH SWING BED

Other names 2

  • PENDER COMMUNITY HEALTH Doing business as
  • Pender Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000900 NE Part A Provider - Critical Access Hospital 3971412842 Practice locations: Pender, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902960313. Details of each certification follow.

Hospital certification: CCN 28Z349

Legal name
PENDER COMMUNITY HOSPITAL DISTRICT
Doing business as
PENDER COMMUNITY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
100 Hospital Dr
Pender, NE 68047-4507

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Siouxld Radiology Partn8 organizations share this tax ID, including this one
Part of
Siouxld Radiology Partn

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael C Minert Individual Corporate Officer Jun 30, 2014
Corporate Director May 8, 2012
Shane Schuster Individual W-2 Managing EmployeeChief Operating Officer Sep 1, 2021
Operational/Managerial ControlChief Operating Officer Sep 1, 2021
Matthew J Timm Individual W-2 Managing EmployeeChief of Staff Feb 13, 2024
Operational/Managerial ControlChief of Staff Feb 13, 2024
Lorraine M Lander Individual Corporate Officer Jun 25, 2018
Corporate Director Jun 30, 2014
Diane J Moeller Individual Corporate Director Jun 27, 2022
Sheri Fillipi Individual Corporate Officer Jun 27, 2022
Corporate Director Oct 14, 2020
Marlon Hennig Individual Corporate Director Dec 11, 2023
Laura J Gamble Individual Corporate OfficerCeo Oct 17, 2022
W-2 Managing EmployeeCeo Oct 17, 2022
Operational/Managerial ControlCeo Oct 17, 2022
Kimberly J Hixson Individual W-2 Managing EmployeeCfo Mar 26, 2024
Operational/Managerial ControlCfo Mar 26, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1902960313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680470100",
            "telephone_number": "402-385-4012",
            "fax_number": "402-385-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474507",
            "telephone_number": "402-385-3083",
            "fax_number": "402-385-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENDER COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-385-3083"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "H000120",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "H000120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE CAH SWING BED",
            "identifier": "00281",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENDER COMMUNITY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pender Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pender Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pender, NE

Sources for this page

Verify at the official NPI Registry.